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Elucidation of progressive pathology using PD-1 positive T cells in multiple sclerosis

Research Project

Project/Area Number 18K15453
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 52020:Neurology-related
Research InstitutionKobe University

Principal Investigator

Chihara Norio  神戸大学, 医学部附属病院, 助教 (70781821)

Project Period (FY) 2018-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2019: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2018: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords多発性硬化症 / PD-1 / 共抑制性受容体 / 共抑制性遺伝子プログラム / 抑制性受容体
Outline of Final Research Achievements

Multiple sclerosis (MS) is an autoimmune disease of the central nervous system. In advance to this study, the applicant identified and reported a co-inhibitory gene program (co-iGP) commonly found in multiple T cell dysfunctions such as tumor microenvironment and immune tolerance (Chihara N, et al. Nature 2018). Thus, I hypothesized that this co-iGP in T-cells might control inflammatory pathology and prevent neurological impairments of MS patients who had a good clinical course. Indeed, I found that the proportion of a co-inhibotory receptor PD-1 positivity of cerebrospinal fluid CD8 expressing T cells in MS patients correlated with the therapeutic effects. PD-1+CD8+ T-cells from patients who achieved remission by disease modifying treatments suppressed co-cultured other T-cell proliferations, and their gene expression analysis revealed that other co-inhibitory receptors found in co-iGP were expressed.

Academic Significance and Societal Importance of the Research Achievements

本研究で解明を進める遺伝子プログラムはそのT細胞制御機能によって慢性持続炎症制御機序の鍵の一つとして汎用性があり、MS領域のみならず、免疫性神経疾患全般ひいては慢性炎症が二次的増悪因子となる生活習慣病や神経変性疾患など、より広い分野への波及効果が期待できる。今後、他のT細胞機能不全状態との共通性や相違性について解析を加え、免疫性神経疾患全般に応用可能な抑制性遺伝子プログラム同定を目指す。

Report

(3 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • Research Products

    (34 results)

All 2020 2019 2018 Other

All Journal Article (12 results) (of which Int'l Joint Research: 4 results,  Peer Reviewed: 8 results,  Open Access: 5 results) Presentation (20 results) (of which Int'l Joint Research: 3 results,  Invited: 2 results) Remarks (2 results)

  • [Journal Article] A case of area postrema syndrome associated with sick sinus syndrome in an elderly patient with neuromyelitis optica spectrum disorder: case report2020

    • Author(s)
      Komaki Ryouhei、Chihara Norio、Hara Atsushi、Fujisawa Satoshi、Muramae Naokazu、Nakasone Kazutaka、Ueda Takehiro、Sekiguchi Kenji、Matsumoto Riki
    • Journal Title

      Neurology and Clinical Neuroscience

      Volume: - Issue: 4 Pages: 183-185

    • DOI

      10.1111/ncn3.12380

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 【知らずにすまない神経眼科疾患!】抗GQ1b抗体症候群2020

    • Author(s)
      赤谷律,千原典夫
    • Journal Title

      OCULISTA

      Volume: 83 Pages: 20-27

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Plasmablasts and neuroimmunological disorders2019

    • Author(s)
      Norio Chihara, Riki Matsumoto, Takashi Yamamura
    • Journal Title

      Immunological Medicine

      Volume: 29 Issue: 3 Pages: 1-5

    • DOI

      10.1080/25785826.2019.1659476

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Validation of the Guy's Neurological Disability Scale as a screening tool for cognitive impairment in multiple sclerosis2019

    • Author(s)
      Ritsu Akatani, Norio Chihara, Hisatsugu Tachibana, Shunsuke Koto, Hisatomo Kowa, Fumio Kanda, Riki Matsumoto, Tatsushi Toda
    • Journal Title

      Multiple Sclerosis and Related Disorders

      Volume: 35 Pages: 272-275

    • DOI

      10.1016/j.msard.2019.08.012

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Increased disease activity in a case of multiple sclerosis after switching treatment from fingolimod to natalizumab2019

    • Author(s)
      赤谷 律, 千原 典夫, 刀坂 公崇, 上田 健博, 関口 兼司, 松本 理器
    • Journal Title

      Rinsho Shinkeigaku

      Volume: 59 Issue: 8 Pages: 536-540

    • DOI

      10.5692/clinicalneurol.cn-001307

    • NAID

      130007696273

    • ISSN
      0009-918X, 1882-0654
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 【T細胞・B細胞研究の進展】インターロイキン27を用いたT細胞における共抑制性 遺伝子群の誘導と転写制御2019

    • Author(s)
      千原 典夫
    • Journal Title

      臨床免疫・アレルギー科

      Volume: 71 Pages: 555-560

    • Related Report
      2019 Annual Research Report
  • [Journal Article] 免疫学 ヘルパーT細胞における共抑制分子の発現制御機構2019

    • Author(s)
      千原 典夫
    • Journal Title

      医学のあゆみ

      Volume: 269 Pages: 549-550

    • Related Report
      2019 Annual Research Report
  • [Journal Article] ニューロサイエンスの最新情報 Plasmablastsと免疫性神経疾患2019

    • Author(s)
      千原 典夫,松本 理器,山村 隆
    • Journal Title

      Clinical Neuroscience

      Volume: 37 Pages: 744-746

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Induction and transcriptional regulation of the co-inhibitory gene module in T cells2018

    • Author(s)
      Chihara N, Madi A, Kondo T, Zhang H, Acharya N, Singer M, Nyman J, Marjanovic ND, Kowalczyk MS, Wang C, Kurtulus S, Law T, Etminan Y, Nevin J, Buckley CD, Burkett PR, Buenrostro JD, Rozenblatt-Rosen O, Anderson AC, Regev A, Kuchroo VK.
    • Journal Title

      Nature

      Volume: 558 Issue: 7710 Pages: 454-459

    • DOI

      10.1038/s41586-018-0206-z

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Paraneoplastic NMOSD associated with EG junction adenocarcinoma expressing unprotected AQP42018

    • Author(s)
      Sudo Atsushi、Chihara Norio、Takenaka Yu、Nakamura Tetsu、Ueda Takehiro、Sekiguchi Kenji、Toda Tatsushi
    • Journal Title

      Neurology - Neuroimmunology Neuroinflammation

      Volume: 5 Issue: 5

    • DOI

      10.1212/nxi.0000000000000482

    • NAID

      120006549204

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Dysregulated T cells in multiple sclerosis2018

    • Author(s)
      Chihara Norio
    • Journal Title

      Clinical and Experimental Neuroimmunology

      Volume: 9 Issue: S1 Pages: 20-29

    • DOI

      10.1111/cen3.12438

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Going beyond a whack‐a‐mole game: A systems biology approach to immune tolerance2018

    • Author(s)
      Chihara Norio、Madi Asaf、Anderson Ana C.、Kuchroo Vijay K.
    • Journal Title

      Clinical and Experimental Neuroimmunology

      Volume: 10 Issue: 1 Pages: 5-6

    • DOI

      10.1111/cen3.12487

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] 多発性硬化症の病態評価における光干渉断層計(OCT)の意義についての検討2019

    • Author(s)
      赤谷 律,千原 典夫,古東 秀介,盛 崇太朗,栗本 拓治,立花 久嗣,大塚 喜久,上田 健博,関口 兼司
    • Organizer
      第60回日本神経学会学術大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] NMOに対するMMFによる再発抑制と安全性確認のためのオープン試験2019

    • Author(s)
      千原 典夫,古東 秀介,赤谷 律,立花 久嗣,大塚 喜久,上田 健博,関口 兼司
    • Organizer
      第60回日本神経学会学術大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 当院で診療した重症筋無力症の臨床像および治療成績2019

    • Author(s)
      的場 健人,千原 典夫,大塚 喜久,立花 久嗣,上田 健博,関口 兼司
    • Organizer
      第60回日本神経学会学術大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 多発性硬化症の急性期治療反応性と相関する脳脊髄液中のPD-1陽性CD8+ T細胞の役割2019

    • Author(s)
      古東 秀介,千原 典夫,赤谷 律,関口 兼司,戸田 達史
    • Organizer
      第60回日本神経学会学術大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 多発性硬化症における制御性CD8+T細胞に関する検討2019

    • Author(s)
      古東 秀介,千原 典夫,赤谷 律,関口 兼司,松本 理器,戸田 達史
    • Organizer
      第31回日本神経免疫学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 再発性視神経炎に対する免疫抑制剤の治療効果2019

    • Author(s)
      盛 崇太朗,栗本 拓治,村井 佑輔,上田 香織,坂本 麻里,千原 典夫,中西 裕子[山田],中村 誠
    • Organizer
      第57回日本神経眼科学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 抗GAD抗体、抗LGI1抗体、抗GABAAR抗体陽性脳炎に対し、免疫治療が奏効した1例2019

    • Author(s)
      中野 孝宏,的場 健人,立花 久嗣,大塚 喜久,千原 典夫,上田 健博,関口 兼司,濱口 浩敏,古和 久朋,松本 理器
    • Organizer
      第37回日本神経治療学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 異常行動とけいれん発作で発症し、3種の抗神経抗体が陽性であった自己免疫性脳炎の1例2019

    • Author(s)
      的場 健人,中野 孝宏,立花 久嗣,大塚 喜久,千原 典夫,上田 健博,関口 兼司,古和 久朋,松本 理器
    • Organizer
      第53回日本てんかん学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 両側性の faciobrachial dystonic seizure を呈した抗 LGI1 抗体陽性辺縁系脳炎の 1 例2019

    • Author(s)
      山口 星一郎,末廣 大知,森本 耕平,千原 典夫,辻 佑木生,立花 久嗣,上田 健博,関口 兼司,松本 理器
    • Organizer
      第15回日本てんかん学会近畿地方会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Plasmablasts and neuroimmunological disorders2019

    • Author(s)
      Chihara N
    • Organizer
      Asia-Pacific School of Neuroimmunology (APSNI) of the International Society of Neuroimmunology
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Induction and transcriptional regulation of the co-inhibitory gene module in T cells2019

    • Author(s)
      Chihara N
    • Organizer
      Kobe Univeristy-University of Washington Joint Symposium on Molecular Pharmacology
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Paraneoplastic NMOSD preceding immune-escape of EG junction adenocarcinoma2018

    • Author(s)
      Norio Chihara, Atsushi Sudo, Shusuke Koto, Ritsu Akatani, Kenji Sekiguchi, Tatsushi Toda
    • Organizer
      14th International Congress of Neuroimmunology
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] The role of PD-1 expressing T cells in the cerebrospinal fluid of MS and NMO2018

    • Author(s)
      千原 典夫, 古東 秀介, 赤谷 律, 関口 兼司, 戸田 達史
    • Organizer
      第59回日本神経学会学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] 日本語版Guy’s Neurological Disability Scaleを用いた多発性硬化症の臨床的評価2018

    • Author(s)
      赤谷 律, 千原 典夫, 渡部 俊介, 立花 久嗣, 古東 秀介, 大塚 喜久, 上田 健博, 関口 兼司, 古和 久朋, 戸田 達史
    • Organizer
      第59回日本神経学会学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] PD-1陽性CD8+ T細胞は多発性硬化症の治療効果を反映する2018

    • Author(s)
      古東 秀介, 千原 典夫, 赤谷 律, 関口 兼司, 戸田 達史
    • Organizer
      第59回日本神経学会学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] 腫瘍随伴性NMOSDにおけるPD-1/PD-L1経路の役割2018

    • Author(s)
      千原 典夫, 首藤 篤史, 古東 秀介, 赤谷 律, 関口 兼司, 戸田 達史
    • Organizer
      第30回日本神経免疫学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 多発性硬化症におけるPD-1陽性CD8+ T細胞の脳脊髄液および末梢血での比較2018

    • Author(s)
      古東 秀介, 千原 典夫, 赤谷 律, 関口 兼司, 戸田 達史
    • Organizer
      第30回日本神経免疫学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 抗ナタリズマブ抗体が陽性となった多発性硬化症の1例2018

    • Author(s)
      赤谷 律, 千原 典夫, 刀坂 公崇, 立花 久嗣, 大塚 喜久, 上田 健博, 関口 兼司, 古和 久朋, 戸田 達史
    • Organizer
      第30回日本神経免疫学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 多発性硬化症/視神経脊髄炎における調節不全T細胞の役割について2018

    • Author(s)
      千原 典夫, 古東 秀介, 赤谷 律, 関口 兼司
    • Organizer
      第46回日本臨床免疫学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 疾患修飾薬変更後に再発を繰り返し,抗ナタリズマブ抗体が陽性となった多発性硬化症の1例2018

    • Author(s)
      赤谷 律, 千原 典夫, 刀坂 公崇, 立花 久嗣, 大塚 喜久, 上田 健博, 関口 兼司
    • Organizer
      第36回日本神経治療学会学術集会
    • Related Report
      2018 Research-status Report
  • [Remarks] 神戸大学大学院医学研究科・内科学講座 脳神経内科学分野

    • URL

      https://www.med.kobe-u.ac.jp/sinkei/

    • Related Report
      2019 Annual Research Report
  • [Remarks] T細胞における共抑制性遺伝子プログラムの発現の制御

    • URL

      http://first.lifesciencedb.jp/archives/18371

    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2021-02-19  

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